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Citation Information

Type Journal Article - Social Science & Medicine
Title The provision of accessible, acceptable health care in rural remote areas and the right to health: Bedouin in the North East region of Jordan
Author(s)
Volume 74
Issue 1
Publication (Day/Month/Year) 2012
Page numbers 36-43
URL http://www.philadelphia.edu.jo/research-portal/uploads/26523.pdf
Abstract
Provision of accessible acceptable health care in remote rural areas poses a challenge to health care
providers. This case study of formal and informal health care provision for Bedouin in North East Jordan
is based on interviews conducted in 2007e2008 involving clinic providers, policymakers and Bedouin as
part of an EC funded study from 2006 to 2010. The paper explores to what extent the right to health as
set out in UN General Comment 14 (on Article 12 and 12.2 of the International Covenant on Social
Economic and Cultural Rights on the right to health) can provide a framework for considering the
availability, accessibility and acceptability of current provision in a rural setting in Jordan. Health care is
provided in the public sector by the Ministry of Health and the Royal Medical Services to a dispersed
population living in encampments and villages over a large rural area. There are issues of accessibility in
terms of distance, and of acceptability in relation to the lack of local and female staff, lack of cultural
competencies and poor communication. We found that these providers of health care have a developing
partnership that could potentially address the challenge of provision to this rural area. The policymakers
have an overview that is in line with applying the concept of health care justice for a more equitable
distribution of resources and adjustment of differential access and availability. The health providers are
less aware of the right to accessible acceptable health care in their day to day provision whilst the
Bedouin population are quite aware of this. This case study of Bedouin in North East Jordan has particular
relevance to the needs of populations e both pastoralists and non pastoralists living in remote and rural
areas.

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